全腔镜下甲状腺良性肿瘤切除术与传统开放性手术治疗甲状腺良性肿瘤的临床研究

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摘要目的探讨全腔镜下甲状腺良性肿瘤切除术与传统开放性手术的临床治疗效果。方法选取2012年1月～2017年6月我院普外科收治的108例甲状腺良性肿瘤手术患者作为研究对象，依据手术治疗方式的不同分为对照组（传统开放性手术治疗）50例和观察组（全腔镜下甲状腺良性肿瘤切除术治疗）58例。观察比较两组患者的手术时间、出血量、术后引流时间、术后引流量、住院时间、术后7 d疼痛评分、术后7 d美容效果评分及术后并发症发生情况。结果观察组患者的手术时间[（70.2±8.9）min]、术后引流时间[（1.5±0.3）d]、住院时间[（5.2±0.5）d]均短于对照组[（94.7±10.4）min，（2.7±0.8）d，（8.0±1.5）d]，观察组患者的出血量[（41.5±9.6）ml]、术后引流量[（71.9±10.6）ml]均少于对照组[（73.7±10.2）ml，（104.5±10.2）ml]，差异均有统计学意义（P＜0.05）。观察组患者术后 7 d 疼痛评分[（2.5±0.3）分]低于对照组[（3.8±0.6）分]，术后 7 d 美容效果评分[（8.4±1.5）分]高于对照组[（4.4±1.2）分]，差异均有统计学意义（P＜0.05）。两组患者术后皮下气肿/声音嘶哑、引流口红肿、口周或手足麻木、饮水呛咳发生情况比较，差异均无统计学意义（P＞0.05）。结论全腔镜下甲状腺良性肿瘤切除术治疗甲状腺患者，手术创伤小，美容效果好，值得临床推广应用。

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	李霖源
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关键词 ：全腔镜下甲状腺良性肿瘤切除术, 传统开放性手术, 疼痛, 美容效果, 并发症

Abstract：ObjectiveTo investigate the clinical effect of resection of benign thyroid tumor under endoscope and traditional open surgery for benign thyroid tumor.Methods108 patients with benign thyroid tumors treated in department of general surgery of our hospital from January 2012 to June 2017 were selected as subjects.According to different surgical methods,they were divided into control group (treated with traditional open surgery,n＝50)and observation group(treated with resection of benign thyroid tumor,n＝58).The operation time,bleeding volume,postoperative drainage time,postoperative drainage volume,hospital stay,pain score of 7 days after surgery,cosmetic effect score of 7 days after surgery and postoperative complications were observed and compared between the two groups.ResultsThe operation time,postoperative drainage time and hospital stay were [(70.2±8.9)min,(41.5±9.6)ml,(1.5±0.3)d,(71.9±10.6)ml,(5.2±0.5)d],which were all lower than that in the control group [(94.7±10.4)min,(73.7±10.2)ml,(2.7±0.8)d,(104.5±10.2)ml and(8.0±1.5)d],and the differences were statistically significant(P＜0.05).In the observation group,the pain score of 7 days after surgery was[(2.5±0.3)points],which was lower than that in the control group[(3.8±0.6)points],and the difference was statistically significant(P＜0.05).The cosmetic effect score of 7 days after surgery was[(8.4±1.5)points],which was greatly higher than that in the control group[(4.4±1.2)points],and the differences were statistically significant(P＜0.05).The incidence of subcutaneous emphysema,hoarseness,swelling at the open of drainage,numbness around the mouth or hand and foot and bucking on drinking water were compared between the two groups,and the differences were not statistically significant(P＞0.05).ConclusionFor patients with thyroid disorders,resection of benign thyroid tumors under endoscope has advantages of mild surgical trauma and great cosmetic effect,which is worthy of clinical promotion.

Key words： Resection of benign thyroid tumor under endoscope Traditional open surgery Pain Cosmetic effect Complications

引用本文:

李霖源;麦建全;叶绍光. 全腔镜下甲状腺良性肿瘤切除术与传统开放性手术治疗甲状腺良性肿瘤的临床研究[J]. 中国当代医药, 2017, 24(32): 39-42.
LI Lin-yuan;MAI Jian-quan;YE Shao-guang. Clinical study of resection of benign thyroid tumor under endoscope and traditional open surgery for benign thyroid tumor. 中国当代医药, 2017, 24(32): 39-42.

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